Clinical Oncology in Breast cancer

Question 1

Who gets breast screening and how often?

Answer 1

50-70yr olds every 3 years

Question 2

What is the treatment for DCIS?

Answer 2

surgery followed by radiotherapy to the whole breast

Question 3

When should irradiation of the breast alone take place after breast conserving surgery?

Answer 3

negative sentinel node biopsy; nodes containing micromets only in SNB; <4 nodes involved in an adequate axillary node clearance

Question 4

When should a boost to the tumour bed be given with brreast conserving surgery?

Answer 4

women under age of 54 on day of surgery and posterior margin <1mm for invasive disease after full thickness exciison

Question 5

When should patients be given chest wall RT after mastectomy?

Answer 5

tumour size >5cm; 4 or more involved nodes; involved resextion margins; T4 disease

Question 6

When should patients recieve RT to the ipsilateral axilla with mastectomy?

Answer 6

> 1 positive macromet sentinel node

Question 7

When should radiotherapy be give nto the supraclavicular fossa?

Answer 7

4 or more involved nodes

Question 8

Who is trastuzamab given to?

Answer 8

patients whose cancer cells overexpress HER2